anxiety 2

Question 1

what is the defense mech associated with obsession?

Answer 1

undoing ego

Question 2

what is obsession?

Answer 2

recurrent/persistent thoughts, urges, and/or images

Question 3

compulsion is

Answer 3

repetitive behavior or activity that the patient performs in response to an obsession or as a set of rules that must be strictly adhered to

Question 4

you count 100 when you get on the plane b/c you are afraid of flying, what is it?

Answer 4

1. OCD

2. undoing

Question 5

in other words

Answer 5

intrusive thought –> ??

Question 6

OCD can be resulted by

Answer 6

uncontrolled life (your kid has cancer) so you want to control your own behavior

Question 7

cormobidity of OCD

Answer 7

1. 1/3 have co-morbid MDD
2. 2/3 pts with Tourette’s syndrome are diagnosed with OCD
3. Suicide risk is high

Question 8

2 treatments for OCD

Answer 8

1. psychotherapy
   - CBT
   - ACT
2. pharmacotherapy
   - 1st line: SSRI
   - 2nd line: clomipramine
   - 3rd line: antipsychotics
   - benzo sedatives do NOT work

Question 9

what is the TCA for OCD?

Answer 9

clomipramine

Question 10

does sedative such as benzo work for OCD?

Answer 10

no (thus, OCD Is NOT GABA based!)

Question 11

tourette’s disorder

Answer 11

1. vocal tics
2. motor tics
3. OCD Very common

Question 12

what are the differential diagnosis of OCD?

Answer 12

1. Tourette’s
2. temporal lobe epilepsy
3. obsessive compulsive personality disorder

Question 13

bullemia is very like

Answer 13

OCD

Question 14

the most common cause of PTSD?

Answer 14

1. death of a loved one
2. assault
3. 15% of chance developing PTSD after a fracture in a car crash

Question 15

what is the risk of you developing PTSD?

Answer 15

1. proximity
2. harm by another human
3. severity
4. repetition

Question 16

to fulfill PTSD

Answer 16

1. exposure to actual or threatened traumatic event
   - death
   - serious injury
   - sexual violence
2. symptoms mush be present for more than 1 month
   - symptoms must cause significant –> distress/impairment

Question 17

The exposure to death, serious injury, or sexual violence must have occurred in one of the following ways:

Answer 17

1. Directly experiencing event(s).
   
   2. Witnessing event(s) as occur to others.
   3. Learning that a family member/friend experienced such an event.
   4. Directly experiencing repeated/extreme exposure to horrific details of an event.

Question 18

PTSD needs to be at least

Answer 18

30 days (if it’s less than 30 days, then it’s acute stress disorder

Question 19

to stop nightmares for PTSD you want to give

Answer 19

prazosin (Alpha 1 blocker)